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CH06101B Martin Luther King Jr Family Clinic Inc (Active)
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Main Details
Name
Martin Luther King Jr Family Clinic Inc
Subdivision Name
Foremost Family Health Centers - A+ Academy Elementary
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034181
340B ID
CH06101B
Grant Number
H80CS00127
Additional Details
Current Program Status
Active
Registration Date
7/1/2022
Participating Start Date
10/1/2022
Participating Approval Date
7/6/2022
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Martin Luther King, Jr. Family Clinic
JOYCE E. TAPLEY, CEO
(469) 601-9360
Primary Contact
Martin Luther King Jr. Family Clinic
Herron Mitchell, Chief Operations Officer
(469) 451-8740
Addresses
Street Address
10327 Rylie Rd Ofc # 4
Dallas, TX 75217-8240
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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